290 RED SCHOOL LANE ALF OPERATIONS LLC (NPI# 1760666150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760666150 |
Entity Type | Organization |
Organization Name | 290 RED SCHOOL LANE ALF OPERATIONS LLC |
Other Organization Name | BRAKELEY PARK CENTER |
Practice Address |
290 Red School Ln Phillipsburg NJ 08865-2276 |
Mailing Address |
101 E Street Rd Kennett Square PA 19348-1701 |
Practice Telephone | 9088592800 |
Practice Fax Number | 9088594532 |
Mailing Telephone | 6109254436 |
Mailing Fax Number | 6109254351 |
Enumeration Date | 2007-12-21 |
Last Update Date | 2007-12-21 |
Authorized Official Name | MARCELLA WILKINSON (CORPORATE DIRECTOR) |
Authorized Official Telephone | 6109254045 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 953335 | NJ | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Brakeley Park Center | Doing Business As Name - Organization |
Street Address |
290 RED SCHOOL LN |
City | PHILLIPSBURG |
State | NJ |
Zip Code | 08865-2276 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386699346 | Northwest Total Care Center Associates, L.p. | Assisted Living Facility | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2006-05-24 |
1568028314 | Pai Participant 25 PC | Internal Medicine | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2019-05-17 |
1699268417 | Annmarie Tucker | Speech-Language Pathologist | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2018-06-07 |
1679073175 | Angela Verdi | Occupational Therapy Assistant | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2018-02-20 |
1275926693 | Sara Slack | Speech-Language Pathologist | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2015-03-10 |
1023357605 | Athena Theresa Bagaipo | Nurse Practitioner | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2013-02-02 |
1194015198 | Kristi M Mecca | Occupational Therapist | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2011-04-11 |
1023292414 | 290 Red School Lane Operations LLC | Assisted Living Facility | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2007-12-21 |
1326268368 | Martha Eppinger Nichols | Occupational Therapist | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2007-05-01 |
1306965637 | Debra Anne Smith | Occupational Therapist | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2007-03-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336748920 | Maria S Hannis | Pharmacist | 1300 Route 22, Phillipsburg, NJ 08865 | 2020-10-23 |
1720586886 | Mariana Cristina De Martinez | Counselor | 865 Us Hwy 22 E, Phillipsburg, NJ 08865 | 2018-01-24 |
1205353448 | Unity for Developmental Disabilities | Case Management | 212 Summit Ave., Phillipsburg, NJ 08865 | 2017-08-28 |
1962954602 | Britt Deluca | Counselor | 865 Us Hwy 22, Phillipsburg, NJ 08865 | 2016-10-28 |
1235593302 | Angela Nicolosi | Counselor | 114 South 2nd Street, Phillipsburg, NJ 08865 | 2016-04-05 |
1952764698 | Future Project | Day Training, Developmentally Disabled Services | 469 South Main St, Phillipsburg, NJ 08865 | 2016-03-31 |
1336485333 | Weiss, Humanick Support Services, LLC | Supports Brokerage | 201 Strykers Crossing, Suite 19-187, Lapatacong, NJ 08865 | 2012-12-19 |
1831466119 | Laura A Skrzenski | Pharmacist | 1596 Third Ave, Alpha, NJ 08865 | 2011-11-30 |
1841571403 | Darlyn Benemerito Bawasanta | Occupational Therapist | 290 Red School Lane, Brakeley Park Center, Lopatcong, NJ 08865 | 2011-09-08 |
1720369614 | Erica B Gracia-cedeno | Counselor | 865 Us Highway 22, Phillipsburg, NJ 08865 | 2011-09-06 |
Find all providers in zip 08865 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386699346 | Northwest Total Care Center Associates, L.p. | Assisted Living Facility | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2006-05-24 |
1023292414 | 290 Red School Lane Operations LLC | Assisted Living Facility | 290 Red School Ln, Phillipsburg, NJ 08865-2276 | 2007-12-21 |
1780734954 | Assisted Living of Vineland, Inc. | Assisted Living Facility | 1503 S Main St, Phillipsburg, NJ 08865-3736 | 2007-01-11 |
1659421162 | Assisted Living of Forked River, Inc. | Assisted Living Facility | 1503 S Main St, Phillipsburg, NJ 08865-3736 | 2007-01-10 |
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1548891948 | Compact Care Facilities | Assisted Living Facility | 4646 Thelma Ave, Mays Landing, NJ 08330-9579 | 2020-02-04 |
1366073140 | Sjf Ccrc, Inc | Assisted Living Facility | 1110 Laurel Oak Rd, Voorhees, NJ 08043-4344 | 2020-01-30 |
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Find all providers with the same taxonomy |
City | PHILLIPSBURG |
Zip Code | 08865 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.